Scholarship application - Mediacom Scholarship
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scholarship application
Just like most families, the Mediacom family believes in the importance of higher education. As a corporation with strong community
roots, we wanted to support, in some way, the higher education of our customers.
For this reason, we formed World Class – The Mediacom Scholarship Program to help graduating high school students with their
college expenses, such as tuition and books.
Through the World Class program, Mediacom awards $1,000 scholarships to winning applicants.
Scholarship Application Checklist
Before you send in your application materials, please make sure you have included the following:
o the
Completed application with your signature and
signature of your school guidance counselor.
o A copy of your high school transcript.
o Your essay of about 500 words, typed and double spaced.
o community
The references of one educator at your school and one
member, using pages 9 and 10 of this application.
o Mail all application materials postmarked on or before
February 15th, 2021.
Retain a copy of the above documents for your records.
Incomplete packets will be rejected automatically.
The selection of scholarship Additional determining Applicants must intend to pursue a course
recipients is based on: factors include: of study at a qualified post-secondary
institution.
Academic Achievement: demonstrated • Participation in school activities.
by high school grade point average • References from one school educator and Applicants must be accepted by the
information (GPA) of at least 3.0. one from someone in your community. qualified post-secondary institution prior
• Participation in community activities.* to actually receiving a scholarship.
Leadership: based on self-reliance,
*Including any volunteer opportunities, clubs, Applicants must commence their post-
initiative, problem-solving and creative
organizations, or part-time jobs in your community.
ability in school and out, as reflected in secondary education or training in the first
the applicant’s personal essay. academic year following their senior year
Completed application materials of high school.
should be postmarked on or before
Essay prompts include: February 15th, 2021, and sent to: Applicants must be in their senior year
of high school, must be high school
• Describe a situation or when you faced
Mediacom graduates or persons who have achieved
an obstacle or adversity and overcame
World Class – The Mediacom equivalent certification. If an applicant is
it. How did your perspective on life
Scholarship Program awarded a scholarship while in his or her
change after that difficulty?
3737 Westown Parkway, Suite 2A senior year of high school and does not
• What have you learned from someone
West Des Moines, IA 50266 graduate at the end of his or her senior
who is very different from you?
year, he or she is no longer eligible to
• Pick an experience from your own life receive a scholarship.
Questions may be sent to:
and explain how it has influenced your
development. scholarship@mediacomcc.com. Students completing high school in fewer
than the normal four years are eligible to
• How are you unique? Discuss your apply.
A PDF file of the application may be
background, identity, interests or talent.
downloaded at www.mediacomworldclass.com. Students entering a qualified post-
• How did you work through a crucial secondary institution in the middle of their
time in your life? And how did your Eligibility requirements: senior high school year are permitted to
perspective on life change after that apply the following year.
difficulty? Children of directors, officers, employees or
agents of Mediacom are not eligible. All scholarships will be awarded without
• Have you tried so hard for something
regard to race, religion, national origin,
and succeeded? What factors Applicants must be legal residents of a sexual orientation, political affiliation or
contributed to your success? community that is being served by Mediacom social or economic status.
• Have you ever participated in any (see list on pages 6-8).
activity outside your classroom that Scholarships are not renewable.
Scholarship awardees may attend any
demonstrates your qualities? accredited two-year or four-year college,
university, technical or vocational school
within the United States.
2PLEASE READ THIS SECTION ON IMPORTANT TIPS BEFORE GOING ANY FURTHER.
• Use the correct application – photocopies are allowed. Do not use an application from a previous year.
• Print neatly or type your application as clearly as possible.
• Make sure to include city, state and zip code. Do not use abbreviations in regard to your city.
• Supply an active email address or phone number, including area code, where you can be reached in case of questions.
• Put your full name on the top right hand corner of every page of every item in the packet.
• Fill in all blanks on the application. If it does not apply to you, use N/A (not applicable).
• References must be made using the reference forms. Additional letters of reference will be accepted.
• Make sure all required items are included. If any part is missing, you may be disqualified.
• Make a copy of your completed application packet for your records.
• USE AT LEAST A 9” X 11” ENVELOPE. DO NOT FOLD THE APPLICATION.
• DO NOT USE STAPLES. You may use paper clips.
DO NOT PUT THE APPLICATION IN A BINDER OR FOLDER. This will be removed and disposed of before going to the judges.
•
DO NOT INCLUDE A PHOTOGRAPH WITH YOUR APPLICATION. This will be removed and disposed of before going
•
to the judges.
• Send your application to:
Mediacom
World Class – The Mediacom Scholarship Program
3737 Westown Parkway, Suite 2A
West Des Moines, IA 50266
How much is the scholarship?
• $1,000
Who is eligible?
• High school seniors who are graduating in 2021 and live in the areas served by Mediacom are eligible.
How can I be sure if I live in an eligible area?
• If your community is served by Mediacom, you are eligible. There is a list of the towns we serve in the application.
A copy is also available online at www.mediacomworldclass.com.
The application says to get two references. Who should I ask for these?
• The school reference should come from teachers, coaches, sponsors, tutors, counselors or anyone who works or worked with
you on a day-to-day basis and can vouch for you and your abilities. If you are home schooled, anyone who works with you in an
educational, community, church or employment capacity will be accepted as a reference.
• The community reference should come from someone who oversees your volunteer or employment activities, someone from
church, or anyone who is aware of the awesome things you do outside of school.
Do I have to use the reference sheets in the application or will letters of recommendation be okay?
• The reference sheets use a numbering system for judging purposes. It is required to have them filled out and
sent in with your packet.
• You may also include letters of reference in addition to the reference sheets.
3Does the copy of the transcript have to be certified?
• If possible, yes, but it does not have to be sealed in a separate envelope. If, however, your school requires a sealed envelope,
make sure it is included in the packet you send us. DO NOT SEND IT SEPARATELY.
What are you looking for in the essay?
We are looking for a narrative that reflects on your growth as a human being. It should be an interesting story that shares what you
have learned and how you use those lessons to help others.
• Avoid making a list of accomplishments, with every sentence starting with “I did...” or “I went...”
• Be creative. Write something that will capture the judges’ attention.
• Speak to personal experience(s). This is your story!
Is there anything else I can send that may be helpful to the judges?
• You may also include a list of achievements, awards, accomplishments and school clubs to which you belong. This can be
included with the list of community events and organizations with which you are involved. Remember to keep this list separate
from your essay.
• You may include a resume listing job experiences and abilities.
What do you mean by community events and organizations?
• This would include church groups, civic groups, volunteer work, Boy or Girl Scouts, Special Olympics, etc., any organization
outside of school with which you are currently or have been involved.
What is the deadline for the application?
• The application and all other materials must be postmarked no later than February 15th, 2021.
I plan to go to a vocational school. Am I still eligible?
• Yes. Any type of secondary training is eligible.
I will be a sophomore in college next year. Am I eligible?
• Only if you earned your college credits while still in high school.
Is the scholarship renewable?
• No. The World Class Mediacom Scholarship is a one-time, non-renewable award.
My parent works for Mediacom. Am I eligible?
• No.
When will the scholarships be awarded?
• The scholarships will be announced April, 2021.
If I am awarded a scholarship, what do I have to do to get the money?
• If you are selected for a scholarship, the committee will notify you by letter. The letter will contain further instructions.
How will the scholarship money be paid?
• The money will be given directly to the students to use as they need for their college expenses. This may be done by mail,
or area Mediacom offices may choose to present them. More information will be available after recipients are chosen.
If you have any other questions concerning World Class – The Mediacom Scholarship Program, please contact us at
scholarship@mediacomcc.com.
4application
PLEASE PRINT CLEARLY OR TYPE THE INFORMATION BELOW
Completed application materials should be postmarked on or before February 15th, 2021.
SECTION ONE: PERSONAL INFORMATION
Applicant Name_______________________________________________________________________________________
Address______________________________________________________________________________________________
City___________________________________________ State__________________________ Zip____________________
Telephone Number_________________________ Email Address______________________________________________
SECTION TWO: ACADEMIC INFORMATION
Current School________________________________________________________________________________________
Address______________________________________________________________________________________________
City___________________________________________ State__________________________ Zip____________________
Telephone Number____________________________________________________________________________________
Anticipated Graduation Date (Month/Year)_________________ Grade Point Average_____________out of__________
Name and signature of high school guidance counselor verifying the academic information above:
Name (please print)_____________________________Signature________________________________ Date___________
SECTION THREE: ESSAY
As part of this application, we ask that you write and attach an original essay of 400-500 words (typed and
double spaced). The essay prompts on page 2 may be used to describe or reflect on events which have led
to your personal growth or your desire to use your skills to help others. A separate list of honors, awards and
accomplishments that you have achieved may be included.
SECTION FOUR: COMMUNITY INVOLVEMENT
Please list the community events and organizations in which you participate. Include any employment.
(attach a separate sheet if needed).
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
SECTION FIVE: REFERENCES
• Make photocopies of the forms on pages 9 and 10. Give a copy to one educator and one member of your community.
Once these forms are completed and returned to you, send them with the rest of your application materials.
• Remember to make a copy of all application materials for yourself. The materials you send will not be returned
to you. Winners will be posted on the World Class Scholarship website in late April, 2021.
SECTION SIX: TO BE READ AND SIGNED BY SCHOLARSHIP APPLICANT
I hereby declare that all information contained in this application is true to the best of my knowledge.
The essay is my own work. I also agree to abide by all scholarship policies as detailed in this document.
Signature of Applicant______________________________________________________ Date___________________________
5communities served
YOU ARE ELIGIBLE TO RECEIVE A SCHOLARSHIP IF YOU LIVE IN A COMMUNITY LISTED BELOW
ALABAMA CALIFORNIA COLUMBUS BUFFALO FAR HILLS LONDON MILLS
ANDALUSIA BODFISH CORDELE BULPIT FARINA LOUISVILLE
ANTIOCH CHINA LAKE NAVAL CUTHERT BUREAU FARMER CITY LUDLOW
ARDMORE CLEARLAKE DAWSON BUSH FARMINGTON LYNDON
ATMORE INYOKERN DONALSONVILLE CALEDONIA FAYETTE MACKINAW
AXIS ISABELLA EASTMAN CAMARGO FISHER MAHOMET
BABBIE KELSEYVILLE ELLAVILLE CAMBRIA FORREST MALTA
BALDWIN KERNVILLE ENIGMA CAMBRIDGE FRANKLIN MANLIUS
BARNWELL LAKEPORT FITZGERALD CANDLEWICK LAKE FULTON MANSFIELD
BAY MINETTE MENIFEE HAHIRA CANTRALL FYRE LAKE MAPLE PARK
BAYOU LA BATRE PAUMA VALLEY HAZELHURST CAPRON GALENA MAQUON
BREWTON RIDGECREST HELENA CARBON CLIFF GALVA MARION
CAMDEN SAN PASQUAL LAKELAND CARBONDALE GARDEN PRAIRIE MARK
CAPSHAW VALLEY CENTER LEE CARTERVILLE GARRETT MARSEILLES
CAROLINA WELDON LEESBURG CARTHAGE GAY MARSHALL
CITRONELLE WOFFORD HEIGHTS LENOX CASEY GENESEO MARTINSVILLE
COVINGTON LUMBER CITY CERRO GORDO GERMAN VALLEY MATHERVILLE
CREOLA MC RAE CHADWICK GERMANTOWN MATTOON
DAPHNE MEIGS CHAMPAIGN GIBSON CITY MCCONNELL
DELAWARE MOULTRIE CHAPIN GIFFORD MCLEAN
DOZIER
ANGOLA BY THE BAY NASHVILLE CHARLESTON GILBERTS MECHANICSBURG
E. BREWTON
BAYARD OCILLA CHATSWORTH GLASFORD MELVIN
EVERGREEN
BETHANY BEACH OMEGA CHEMUNG GODLEY METAMORA
EXCEL
CLARKSVILLE PEARSON CHENOA GOOD HOPE MIDDLETOWN
FAIRHOPE
DAGSBORO PELHAM CHILLICOTHE GOODFIELD MILAN
FISH RIVER
FRANKFORD POULAIN CLARK GRANT PARK MILLEDGEVILLE
FOLEY
GEORGETOWN RAY CITY CLEARLAKE TRAILER GRANVILLE MINERAL
FORT MORGAN
LEISURE POINT REMERTON CLEARLAKE VILLAGE GREEN ROCK MINIER
FRISCO CITY
LEWES SCOTLAND CLEVELAND GREEN VALLEY MINONK
GANTT
LOVE CREEK SHELLMAN COAL VALLEY GREENUP MINOOKA
GRAND BAY
MARINERS COVE SPARKS COBDEN GREENVIEW MOBET
GREENSBORO
MIDDLESEX SUMNER COLES GRIDLEY MOLINE
GULF SHORES
MILLSBORO SYCAMORE COLFAX HAMILTON MOMENCE
HARMONY
MILLVILLE SYLVESTER COLONA HAMMOND MONROE CENTER
HARVEST
OCEANVIEW TELFAIR COLP HAMPSHIRE MONTICELLO
HEATH
ROXANNA TERRELL CORDOVA HAMPTON MORRIS
HUNTSVILLE
SEA COLONY THOMASVILLE CORNELL HANNA CITY MORRISON
IRVINGTON
SELBYVILLE TIFTON CORTLAND HANOVER MORRISONVILLE
JACKSON
SOUTH BETHANY TY TY COULTERVILLE HARRISBURG MOUNDS
KINSTON
LIBERTYVILLE VALDOSTA CRAINVILLE HARTSBURG MT AUBURN
LINDEN VIENNA CRAWFORD HARVEL MT. CARROL
LIVINGSTON FLORIDA WILLACOOCHEE CRESCENT CITY HEBRON MURPHYSBORO
LOXLEY ALLIGATOR POINT WORTH CULLOM HECKER NAPLATE
MCINTOSH APALACHICOLA DAKOTA HENDERSON NAUVOO
MCKENZIE BAKER DALLAS CITY HENNEPIN NEOGA
MOBILE BONIFAY DANVERS HERRIN NEPONSET
ILLINOIS
MONROEVILLE CAPE SAN BLAS DAVIS HEYWORTH NEW BERLIN
ABINGDON
MT. VERNON CARRABELLE DAVIS JUNCTION HILLSDALE NEW HOLLAND
ALBANY
ONYCHA EAST MILTON DAWSON HINCKLEY OAK GROVE
ALEDO
OPP EASTPOINT DE LAND HINDSBORO OAK PARK EST
ALEXIS
ORANGE BEACH GADSEN DEER CREEK HOOPPOLE OAKLAND
ALTAMONT
PERDIDO BEACH GREENSBORO DELAVAN HOPEDALE OBLONG
ALTONA
RED LEVEL GRETNA DESOTO HOPEWELL ESTATES ODELL
ALTOPASS
RED OAK GULF BREEZE DOWELL HUDSON OQUAWKA
ANCHOR
REPTON HAVANA DOWNS HUMBOLT ORANGEVILLE
ANDALUSIA
RIVER FALLS LANARK VILLAGE DUNLAP HURST ORION
ANDOVER
ROBERTSDALE MEXICO BEACH DURAND HUTSONVILLE OSCO
ANNAWAN
SANFORD MILLIGAN DWIGHT IVESDALE OTTAWA
APOLLA ACRES
SARALAND MILTON EAGLE JACKSONVILLE OTTER CREEK
APPLE RIVER
SATSUMA PACE EARLVILLE JEISYVILLE PALESTINE
ARCOLA
SILVERHILL PENSACOLA EAST BROOKLYN JO DAVIESS PALMER
ARGYLE
SPANISH COVE PORT ST JOE EAST DUBUQUE JOHNSON CITY PAXTON
ARTHUR
SPANISH FOREST SANDESTIN EAST MOLINE KANEVILLE PEARL CITY
ASHMORE
STAPLETON SOUTHPORT EDINBURG KANGLEY PECATONICA
ATKINSON
THOMASVILLE ST GEORGE EFFINGHAM KANSAS PESOTUM
ATLANTA
YORK ST. GEORGE ISLAND ELBURN KINCAID PIERSON STATION
ATWOOD
VERNON ELDORADO KIRKLAND PONTIAC
AVON
WEWAHITCHKA ELIZABETH LACON PONTOOSUC
ARIZONA BAYLES LAKE
ELKHART LAKE SARA POPLAR GROVE
AJO BAYVIEW GARDENS
ELKVILLE LAKE SUMMERSET PORT BYRON
APACHE JUNCTION BELLFLOWER
ELMWOOD LAMPLIGHTER PRAIRIE CITY
GOLD CANYON GEORGIA BEMENT
ELPASO LANARK PREEMPTION
NOGALES CITY ADEL BENSON
EMDEN LELAND PRINCEVILLE
QUEEN CREEK ALAPAHA BIG ROCK
ENERGY LENA PROPHETSTOWN
QUEEN VALLEY ALBANY BLOOMINGTON
ERIE LEROY RANTOUL
RIO RICO AMERICUS BODEN
ESSEX LEXINGTON RAPIDS CITY
ROCK SHADOWS ASHBURN BRACEVILLE
EUREKA LITTLE SWAN LAKE READING
SAN TAN VALLEY BAINBRIDGE BRADFORD
FAIRBURY LOAMI RED BUD
CAIRO BRIMFIELD
FAIRMONT CITY LODA REYNOLDS
CAMILLA BRUCE
FAIRVIEW LOMAX RICHMOND
CECIL BUDA
6 Questions may be sent to: scholarship@mediacomcc.comcommunities served
YOU ARE ELIGIBLE TO RECEIVE A SCHOLARSHIP IF YOU LIVE IN A COMMUNITY LISTED BELOW
RIDOTT WATSEKA SCHNEIDER COLFAX HUMBOLDT OSKALOOSA
RINGWOOD WAYNESVILLE SKINNER LAKE COLUMBUS CITY HUXLEY OSSIAN
RIVER OAKS WELDON SOUTH WHITELY COLUMBUS JUNCTION INDEPENDENCE OTTUMWA
ROANOKE WENONA ST. JOSEPH CORALVILLE INDIANOLA OXFORD
ROBINSON WEST FRANKFORT SYRACUSE CORNING IOWA CITY OXFORD JCTN
ROCK CITY WESTFIELD TIPPECONOE CORYDON IOWA FALLS PANORAMA PARK
ROCK ISLAND WHITEASH TOCSIN CRESCO JANESVILLE PARK VIEW
ROLLING MEADOWS WHITESIDE TRI LAKES CRESTON JASPER PARKERSBURG
ROSEVILLE WILLIAMSFIELD UNIONDALE DAKOTA CITY JOHNSTON PELLA
ROYALTON WINDSOR VERA CRUZ DALLAS KALONA PEOSTA
RUTLAND WINNEBAGO WALKERTON DALLAS CENTER KELLERTON PERRY
S JACKSONVILLE VIL- WINSLOW WANATAH DANVILLE KENSETT PLEASANT HILL
LAGE WOLFE ROAD WARSAW DAVENPORT KEOKUK PLEASANT VALLEY
SAN JOSE WOODLAND WATERLOO DECATUR CITY KEOTA PLEASANTVILLE
SANGAMON CITY WYOMING WESTVILLE DECORAH KNOXVILLE POCAHONTAS
SAUNEMIN YATES CITY WHEATFIELD DENISON LAKE CITY POLK CITY
SAVANNA ZIEGLER WOCOTTVILLE DENVER LAKE PARK PRAIRIE CITY
SAYBROOK DES MOINES LAKESIDE PRESTON
SCALES MOUND DESOTO LAKOTA PRINCETON
SECOR DEWITT LAMBS GROVE RANDALL
INDIANA IOWA
SHABBONA DEXTER LAMONI RAYMOND
ADAM LAKE ACKLEY
SHADY OAKS DIKE LANSING RED OAK
ALBION ADEL
SHANNON DUBUQUE LAPORTE REDFIELD
ANGOLA AGENCY
SHEFFIELD DUNCAN LAURENS REINBECK
ARGOS ALBIA
SHELDON DURANT LE CLAIRE RIVERDALE
ASHLEY ALGONA
SHERIDAN DYERSVILLE LE GRAND RIVERSIDE
AUBURN ALTA
SHERRARD/FYR DYSART LELAND ROCKWELL
AVILLA ALTOONA
SIBLEY EAGLE GROVE LEON ROCKWELL CITY
BLUFFTON AMANA
SIGEL EARLHAM LIME SPRINGS SABULA
BOURBON AMES
SILVIS EDDYVILLE LINN SAC CITY
BREMAN ANAMOSA
SMITHTON EDGEWOOD LISBON SAGEVILLE
BROOK ANKENY
SMITHVILLE ELDON LONE TREE SCOTT
BUTLER APLINGTON
SOLON MILLS ELDORA LONG GROVE SHEFFIELD
CHURUBUSCO ARNOLDS PARK
SOMONAUK ELDRIDGE LOVILIA SHELDAHL
COLUMBIA CITY ASBURY
SOUTH WILMINGTON ELGIN LOW MOOR SHELL ROCK
CROMWELL ATALISSA
SPARLAND ELK RUN HEIGHTS LUCAS SHENANDOAH
CULVER ATLANTIC
SPRING BAY ELKADER LYNNVILLE SHOREWOOD ACRES
DECATUR AUDUBON
SPRING GROVE ELMA MADRID SHUEYVILLE
DEERFIELD APTS AVOCA
ST AUGUSTINE EMMETSBURG MANCHESTER SIGOURNEY
DEWART LAKE BANCROFT
ST CLAIR EPWORTH MANLY SLATER
FRANCESVILLE BARNUM
ST DAVID ESSEX MANSON SOLON
FREMONT BEACON
ST. ELMO ESTHERVILLE MAQUOKETA SPENCER
GARRETT BEAMAN
STANDARD EVANSDALE MARENGO SPILLVILLE
GOODLAND BEDFORD
STANFORD FAIRBANK MARION SPIRIT LAKE
GRABILL BELLE PLAINE
STEWARDSON FAIRFAX MARQUETTE STORM LAKE
GROVERTOWN BELMOND
STOCKTON FAIRFIELD MARSHALLTOWN STORY CITY
HAMILTON BERTRAM
STOY FARLEY MASON CITY STRAWBERRY PT
HOWE BETTENDORF
STRASBURG FAYETTE MAYNARD STUART
HUDSON BLOOMFIELD
STRAWN FOREST CITY MCCAUSLAND SULLY
KENDALLVILLE BLUE GRASS
STREATOR FORT DODGE MCGREGOR SUMNER
KENTLAND BONDURANT
STRONGHURST FORT MADISON MELCHER SWEA CITY
KNOX BOONE
SUGAR GROVE FREDERICKSBURG MIDDLETOWN SWISHER
KOONTZ LAKE BOONEVILLE
SULLIVAN FREDONIA MILES TAMA
KOSCIUSKO BRITT
TAMPICO FT. ATKINSON MITCHELLVILLE TIFFIN
KOUTS BUENA VISTA
TAYLOR RIDGE GARNAVILLO MONROE TIPTON
LACROSSE BUFFALO
TEUTOPOLIS GARNER MONTICELLO TOLEDO
LAGRANGE BUFFALO CENTER
THOMASBORO GARWIN MONTROSE TRAER
LAKEVILLE BURLINGTON
THOMSON GILBERTVILLE MORNING SUN TWIN LAKES
LAOTTO BURT
TILDEN GILMORE CITY MOUNT JOY UNIVERSITY HEIGHTS
LAPAZ BUSSEY
TIMBER RIDGE GLADBROOK MT AYR UNIVERSITY PARK
LEESBURG CALHOUN
TIMBERLANE GLENWOOD MT PLEASANT URBANDALE
LEO-CEDARVILLE CALMAR
TOLEDO GLIDDEN MT VERNON VAN METER
LIGONIER CAMANCHE
TOLONO GOOSE LAKE NEVADA VENTURA
MALDEN CARLISLE
TOLUCA GRANGER NEW ALBIN VILLISCA
MARSHALL CARLISLE
TOULON GREEN MOUNTAIN NEW HAMPTON VINTON
MEDARYVILLE CARROLL
TOVEY GREENFIELD NEW HARTFORD WAHPETON
MILFORD CARROLL
TOWANDA GRIMES NEW LONDON WALCOTT
MONROE CEDAR FALLS
TUSCOLA GRINNELL NEW SHARON WAPELLO
MONROEVILLE CEDAR RAPIDS
VARNA GRUNDY CENTER NEWHALL WASHBURN
N JUDSON CENTERVILLE
VICTORIA GUTTENBERG NEWTON WASHINGTON
N. LIBERTY CERRO GORDO
VILLA GROVE HAMILTON NORTH ENGLISH WATERLOO
NAPPANEE CHARITON
VIOLA HAMPTON NORTH LIBERTY WAUKEE
NEW DURHAM CHARLES CITY
WALNUT HARLAN NORTHWOOD WAUKON
NORTH MANCHESTER CHARLOTTE
WAPELLA HARPER’S FERRY NORWALK WAUKON JCT
NORTH WEBSTER CHEROKEE
WARREN HARRIS NORWAY WAVERLY
PIERCETON CLARINDA
WARSAW HAZELTON OELWEIN WEBSTER
PONETO CLARION
WASHBURN HARTFORD OKOBOJI WEBSTER CITY
ROME CITY CLAYTON
WASHINGTON PARK HIAWATHA ORLEANS WELLMAN
ROSELAND CLEAR LAKE
WATAGA HILLS OSAGE WEST BRANCH
ROSEWOOD MANOR CLINTON
WATERMAN HUDSON OSCEOLA WEST BURLINGTON
SAN PIERRE CLIVE
https://www.facebook.com/#!/mediacomcable 7communities served
YOU ARE ELIGIBLE TO RECEIVE A SCHOLARSHIP IF YOU LIVE IN A COMMUNITY LISTED BELOW
WEST DES MOINES MARYLAND HIBBING SUNBURG MILLER HAYTI
WEST LIBERTY BERLIN HOKAH TACONITE MT VERNON LAKE NORDEN
WEST OKOBOJI OCEAN PINES HOUSTON THOMSON NECK CITY LAKE PRESTON
WEST POINT PITTSVILLE HOWARD LAKE TONKA BAY NEWTONIA VOLGA
WEST UNION WILLARDS HOYT LAKES TROSKY NORBORNE WHITE
WESTWOOD HUTCHINSON TWO HARBORS ORONOGO
WHAT CHEER INDEPENDENCE TYLER OSCELOA
WILLIAMSBURG IVANHOE VESELI PURCELL
MICHIGAN TENNESSEE
WINDSOR HEIGHTS JANESVILLE VICTORIA PURDY
MATTAWAN ARDMORE
WINTERSET KASOTA VIRGINIA RICHMOND
BIG ROCK
WOODBURN KEEWATIN WACONIA ROGERSVILLE
DOVER
WOODWARD KENYON WALDORF SALISBURY
ELKTON
WRIGHT MINNESOTA KINNEY WALTHAM SEYMOUR
HUNTLAND
WYOMING ADAMS LAFAYETTE WASECA SPRINGFIELD
APPLETON LAKE BENTON WAYZATA STARK CITY
ARLINGTON LAKE CITY WEBSTER STRAFFORD
ATWATER LAKE CRYSTAL WELLS WALNUT GROVE WISCONSIN
KANSAS
AURORA LAKE JEFFERSON WEST CONCORD WILLARD BELMONT
BALDWIN CITY
BEAVER BAY LANESBORO WHEATON WOOD HEIGHTS BENTON
BURLINGAME
BELGRADE LAPRAIRIE WINDEMERE BOSCOBEL CITY
BURLINGTON
BELLE PLAINE LE SUEUR WINNEBAGO BRIDGEPORT
CARBONDALE
BIRD ISLAND LEROY WINSTED BROOKVIEW
EDGERTON MISSISSIPPI
BIWABIK LESTER PRAIRIE WINTHROP BROWNTOWN
EUREKA BAY ST LOUIS
BLOOMING PRAIRIE LITCHFIELD WOODLAND CAMP DOUGLAS
GALENA BEAUMONT
BROOTEN LONG LAKE WORTHINGTON CASHTON
GRIDLEY JORDON RIVER SHORES
BROWNSDALE LONSDALE YOUNG AMERICA CHASEBURG
HAMILTON LUCEDALE
BROWNSVILLE LORETTO COON VALLEY
LEBO PEARLINGTON
BROWNTON LOWER SIOUX CUBA CITY
LEROY ST. ANDREWS
BUFFALO LAKE LUVERNE DARLINGTON
LYNDON MISSOURI WAVELAND
BUHL LYLE DESOTO
MADISON AIRPORT DRIVE WIGGINS
BUTTERFIELD MABEL EAST DUBUQUE
MULBERRY ALBA
CALEDONIA MADISON ESSMAN & ABLE
NEW STRAWN ALBANY
CALUMET MANTORVILLE FENNIMORE
OSAGE CITY ANDERSON
CANNON FALLS MAPLE PLAIN NORTH CAROLINA FERRYVILLE
OSWEGO APPLETON CITY
CANTEBURY ESTATES MARBLE ARROWHEAD FORT MCCOY
SCRANTON ARCHIE
CANTON MAYNARD CAMDEN FREMONT
WELLSVILLE ASH GROVE
CARLTON MCKINLEY CHOWAN BEACH GAY MILLS
AVA
CHANHASSEN MEDINA COLERAIN GREENFIELD
BATTLEFIELD
CHATFIELD MINNETRISTA COLUMBIA HAZEL GREEN
BETHANY
KENTUCKY CHISHOLM MINNETONKA CONWAY HUSTLER
BILLINGS
ALBANY CHOKIO MONTGOMERY CRESWELL IOLA
BRUNSWICK
BIG CLIFTY CLARA CITY MOOSE LAKE CURRITUCK LA FARGE
BUTLER
BONNIEVILLE CLEVELAND MORRIS EDENTON LACROSSE
CABOOL
BROWNSVILLE CLINTON MORTON HERTFORD MAUSTON
CALLAWAY
BURKESVILLE CLONTARF MOUND JACKSON MUSCODA
CAMERON
CADIZ CLOQUET MOUNTAIN IRON JAMESVILLE NECEDAH
CARL JUNCTION
CANEYVILLE COHASSET MOUNTAIN LAKE KELFORD NEW LISBON
CARROLLTON
CRITTENDEN COLERAINE NASHWAUK LEWISTON NORWALK
CARUTHERSVILLE
CROFTON COSMOS NEW MARKET PLYMOUTH ONTARIO
CASSVILLE
CUMBERLAND CREDIT RIVER NORTH REDWOOD POWELLSVILLE POTOSI
COLUMBIA
EDMONSON CITY DAKOTA NORWOOD RICH SQUARE PRAIRIE DU CHIEN
CRANE
EDMONTON DANUBE OLIVIA ROPER READSTOWN
CRYSTAL LAKES
ELKTON DARWIN ORONO ROXOBEL SCANDANAVIA
DIAMOND
FORDSVILLE DAWSON PAYNESVILLE SEABOARD SHELBY
DUENWEG
FREDONIA DEEPHAVEN PEMBERTON SEVERN SHULLSBURG
DUQUESNE
GAMALIEL DODGE CENTER PETERSON TYRRELL SOLDIERS GROVE
EVERTON
GUTHRIE ELKO PIPESTONE WASHINGTON SOUTH WAYNE
EXCELSIOR ESTATES
HARDIN ELLSWORTH PRESTON WINDSOR STODDARD
EXCELSIOR SPRINGS
HENDERSON CITY EVELETH PRIOR LAKE WINFALL TENNYSON
EXETER
HOPKINSVILLE EXCELSIOR PROCTOR WOODLAND VIOLA
FORSYTH
MADISONVILLE FAIRFAX REDWOOD FALL VIROQUA
GOLDEN CITY
MARION FOUNTAIN RUSHFORD WESTBY
GOODMAN
MARROWBONE FRANKLIN SAVAGE WILTON
GRANBY OHIO
MORGANTOWN FULDA SHOREWOOD
GREENFIELD ANTWERP
MUMFORDVILLE GAYLORD SILVER BAY
HAYTI HICKSVILLE
NEBO GIBBON SILVER LAKE
HAYTI HEIGHTS
NORTONVILLE GILBERT SLAYTON
HENRIETTA
OAK GROVE GRACEVILLE SLEEPY EYE
HERMANN
PEMBROKE GRAND MARAIS SPRING GROVE SOUTH DAKOTA
HOLTS SUMMIT
PRINCETON GRAND RAPIDS SPRING LAKE ARLINGTON
HOMESTEAD VILLAGE
SALEM GRANITE FALLS SPRING PARK AURORA
JASPER
SONORA GREENWOOD SPRING VALLEY BROOKINGS
JEFFERSON CITY
ST PAUL GROVE CITY SPRINGFIELD BRUCE
KIMBERLING CITY
SUMMERSHADE HADLEY ST BONIFACIUS CASTLEWOOD
LAWSON
TOMPKINSVILLE HAMBURG ST JAMES COLMAN
LIBERAL
TRENTON HANCOCK ST. CHARLES CITY DESMET
LOCKWOOD
UPTON HAYFIELD ST. PETER EGAN
LOWERY CITY
WHITESVILLE HECTOR STARBUCK ELKTON
MANSFIELD
HENDERSON STEWART ESTELLINE
MARCELINE
HERMANTOWN STURGEON LAKE FLANDREAU
MARSHFIELD
8 http://www.youtube.com/user/MediacomCablereferences
SCHOOL REFERENCE FOR THE SCHOLARSHIP APPLICANT
The school reference should come from teachers, coaches, sponsors, tutors, counselors or anyone who works or worked with you
on a day-to-day basis and can vouch for you and your abilities. If you are home schooled, anyone who works with you in an educational,
community, church or employment capacity will be accepted as a reference.
Please print the information below:
Name of Applicant______________________________________________________________________________________________________
Your Name_____________________________________________________________________________________________________________
Your Relationship to the Applicant________________________________________________________________________________________
Please rank the Applicant in each of the categories below by circling the appropriate number for each item.
The Applicant must mail this and all other application materials on or before February 15th, 2021.
RATING SCALE
Rate the Applicant compared to the typical student in your school.
4 - Outstanding 3 - Above Average 2 - Average 1 - Below Average
• Leadership in school 4 3 2 1
• Leadership in community 4 3 2 1
• Character and integrity 4 3 2 1
• Self-reliance 4 3 2 1
• Initiative 4 3 2 1
• Creativity 4 3 2 1
I hereby declare that the above information is accurate to the best of my knowledge and/or opinion.
Signature of Person Completing This Form_________________________________________________ Date___________________________
THANK YOU FOR YOUR COOPERATION.
9references COMMUNITY REFERENCE FOR THE SCHOLARSHIP APPLICANT The community reference should come from someone who oversees your volunteer or employment activities, someone from church, or anyone who is aware of the awesome things you do outside of school. Please print the information below: Name of Applicant______________________________________________________________________________________________________ Your Name_____________________________________________________________________________________________________________ Your Relationship to the Applicant________________________________________________________________________________________ Please rank the Applicant in each of the categories below by circling the appropriate number for each item. The Applicant must mail this and all other application materials on or before February 15th, 2021. RATING SCALE Rate the Applicant compared to the typical student in your school. 4 - Outstanding 3 - Above Average 2 - Average 1 - Below Average • Leadership in school 4 3 2 1 • Leadership in community 4 3 2 1 • Character and integrity 4 3 2 1 • Self-reliance 4 3 2 1 • Initiative 4 3 2 1 • Creativity 4 3 2 1 I hereby declare that the above information is accurate to the best of my knowledge and/or opinion. Signature of Person Completing This Form_________________________________________________ Date___________________________ THANK YOU FOR YOUR COOPERATION. 10
past scholarship winners
2020 Winners 2019 Winners 2018 WINNERS 2017 WINNERS
ALABAMA ALABAMA ALABAMA ALABAMA
Anna Racine – Robertsdale Sydney Patterson – Daphne Andrea Hammock – Castleberry Addison Reagan – Daphne
Haven Collins – Thomasville Jeri Grundhoefer – Daphne Anna Catherine Snyder – Meridianville Elizabeth Burford – Camden
James Brazell – Ardmore Anna Wilson – Daphne Ashleigh Green – Monroeville Kelsey Reagan – Daphne
Lauren Montgomery – Grand Bay Allyne Stevens – Gulf Shores Janey McManus – Huntsville Stephanie Larkin – Livingston
Lillie Yazdi – Daphne Hannah Smid – Madison Morgan Franklin – Gulf Shores
Lydia Mims – Frisco City William Clark III – Andalusia ARIZONA
ARIZONA Alexa Murphy – Rio Rico
ARIZONA Kaitlyn Naff – Rio Rico ARIZONA Sam Sneed – Rio Rico
Brooke Gordon – Apache Junction Sebastian Valencia – Rio Rico
CALIFORNIA CALIFORNIA
CALIFORNIA Noah Brown – Hidden Valley Lake CALIFORNIA Michael Barker – Ridgecrest
Alessandra Diaz – Hidden Valley Lake Audrey Banner – Valley Center Amy Herrmann – Hidden Valley Lake
Christian Kramer – Ridgecrest Garrett Grossner – Kelseyville FLORIDA
Kimiko Walker – Menifee FLORIDA Nicholas Warner – Upper Lake Emily Shiel – Pace
Katherine Player – Gulf Breeze Haley Kling – Pace
DELEWARE DELAWARE Heather Kling – Pace
Madison Johnson – Selbyville GEORGIA Caitlyn Lewis – Milton Nikolas Bindi – Gulf Breeze
Maggie Nguyen – Albany Rachel Nation – Milton
FLORIDA LaKaiya Campbell – Albany FLORIDA
Allison Linkous – Gulf Breeze Justin Harris – Columbus Amber Hartley – Gulf Breeze GEORGIA
Erin Ennis – Pace Langley Wooten – Thomasville Caitlin Miller – Bainbridge
GEORGIA Camryn McGregor – Camilla
GEORGIA IOWA Adam Orr – Hahira Carey Tyler – Moultrie
Clark Cousins – Midland Laura Stowater – Algona Carly Hall – Albany Joely Peterman – Valdosta
Emily McClure – Leesburg Meredith King – Ankeny Laney Pollock – Camilla Sara Jensen – Hahira
Jared Lawlor – Valdosta Alton Barber – Bettendorf Mary Grace Watson – Moultrie
Lilah Widner – Bainbridge Jaiden Goodman – Camanche IOWA
Logan Seagroves – Fitzgerald Tessa Powers – Creston IOWA Aastha Chandra – Cedar Falls
Esmee Belzer – Davenport Abigail Crowner – Burlington Alexandra Kasemeier – Denver
IOWA Lilyahna Kowal – Des Moines Alexa Muhlbauer – Carroll Claire Jager – Oskaloosa
Abigail Kelly – Des Moines Caleb Cook – Des Moines Elizabeth Larson – Mt Pleasant Claire Sybesma – Maquoketa
Abigail Wedeking – Charles City Rachel Green – DeWitt Emily Larson – Ankeny Jacob Berning – Dubuque
Allison Nuss – New Hampton Elsa Treiber – Eldridge Jackson Stamper – Bettendorf Jonathan Green – DeWitt
Amelia Balk – Davenport Amanda Dougherty – Epworth Katherine Sturmer – Blue Grass Joshua Felger – Carlisle
Ashlin Young – Algona Anthony Wagner – Fort Dodge Katie Andreasen – Cedar Rapids Julianna Cassutt – Manchester
Ashton Snarr – Davenport LilliAnna Scott – Fort Madison Lindsey Parrott – Iowa City Landra McClellan – Swea City
Aubrey Schmidt – Dysart Mattilyn Flack – Hampton Malachi Hornbuckle – Nevada Lauren Sloat – Davenport
Aubri McClung – Altoona Calvin Carlson – Humboldt Mikayla Adkins – Shenandoah Megan Jackson – Peosta
Aurora Vansickel – Mt Pleasant Tyler Juffernbruch – Indianola Sophia Xiao – Bettendorf Morgan Cochran – Chariton
Cal Watson – Urbandale Emma Atwood – Leon Taryn Perry Story City Morgan Koenen – Marion
Clara Droessler – Dubuque Michael McGrew – Marion Tyler Kumsher – Garner Natalie Risse – Sumner
Eliana Hornbuckle – Nevada Jillian Baker – North Liberty Zoe Rezac – Tipton Tyler Schoulte – Cedar Rapids
Erica Johnson – Marshalltown Abigail Crow – Tiffin
Hasya Joshi – Ottumwa Taylor Lekin – Toledo ILLINOIS
ILLINOIS
Joseph Wickman – Mason City Ashley McCurdy – Streator Asrielle Allen – Milan
Juan Carlos Oropeza – Des Moines ILLINOIS August Camarato – Herrin Cooper Johnson – Paxton
Justin Yem – Marion Emma Baker – El Paso Jamie Wunning – Dunlap Emma Fortner – Minonk
Noah Westhoff – Dyersville Bailey Hollis – Hamilton Joy Witto Charleston Grace Alber – Davis
Paisley Kintigh – Greenfield Rachel Klimas – Rantoul Madelyn Walters – Elizabeth Mitchell Kerley – West Frankfort
Sidney Ringgenberg – Sac City Kyle Zimmerman – Rock City Olivia Muir – Pontiac Taylor Heil – Carbondale
Sullivan Tighe – Oskaloosa Ashton Smith – Tuscola
Tyler Adams – Arnold’s Park INDIANA
INDIANA
INDIANA Bayley Stuckey – Auburn Erin Sukala – Auburn
ILLINOIS Sydney Weaver – Auburn Mckenzie Hart – Churubusco
Alexander Feller – Hanna City Aubrey Toppen – DeMotte Sahil Patel – Kendallville KENTUCKY
Anna Sipes – Charleston Gillian Senter – Madisonville
Erin Henze – Shannon KENTUCKY Roger Skinner – Cadiz
Joseph Lenz – Lena KENTUCKY
Houston Knox – Madisonville Anne Marie McAtee – Cadiz
Kadyn Stevens – Watseka
Lena Luebbering – Heyworth MINNESOTA
MARYLAND KANSAS Isaac Schrof – Chanhassen
Davina Graybill – Bishopville Jennifer Torrey – Eureka Kate Quesenberry – Springfield
INDIANA Asher Amey – Willards Krista Holmstrom – Savage
Allyson Stuckey – Auburn Taylr Bahr – Burlington
Katherine Helgeson – LeRoy McKaia Ryberg – Buffalo Lake
Cole Bergman – Garrett Elizabeth Dietz – Morris Samuel Stresemann – Winthrop
Matthew Dulas – Pipestone MARYLAND Tyler Wendland – Waseca
KENTUCKY Jack Perala – Virginia Ryan Danaher – Bishopville
Cameron Walker – Madisonville Miah Busse – Winthrop MISSOURI
MINNESOTA Alexys Barton – Liberal
MINNESOTA MISSOURI Hannah Mitchell – Cloquet Caleb Bavlnka – Columbia
Devon Schwarzrock – Gibbon Kathryn Grant – Carrolton Hans Bakken – Luverne Camille Holman – Cassville
Malli Ryberg – Buffalo Lake Macy Lee – Franklin Chandler Roberts – Ava
Valerie Messner – Hancock Madison Mayer – Dassel Lindy Fraker – Stafford
NORTH CAROLINA Margaret Kleiman – Hutchinson
Sarah Spencer – Edenton Tess Steiner – Hancock
MISSOURI Dylan White – Edenton William Keute – Virginia SOUTH DAKOTA
Abbey Kussman – Marceline Tara McEldowney – Castlewood
Emma Ricketts – Salisbury SOUTH DAKOTA
Grace Shockley – Cabool MISSOURI
Megan Lippert – Brookings Ethan Bergmann – Rogersville WISCONSIN
Gerrit Brouwer – Osceola Cassidy Peterson – Westby
NORTH CAROLINA WISCONSIN Vanessa Klein – Hustler
Kenan Harrell – Edenton Emily Herried – Nacedah NORTH CAROLINA
Cassidy Green – Ontario DeJ’ohnna Keyes – Plymouth
SOUTH DAKOTA
Casey Stegeman – Arlington
SOUTH DAKOTA
Broden Wanner – Colman
WISCONSIN Samantha Ludwig – Estelline
Gabrielle Toberman – Prairie du Chien
Kyra Saylor – Necedah
Liberty Foht – Benton
11M732-39409
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